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DG Journal Club AUTHORS: Jae Hwa Yoo, Si Young Ok et al. Medicine (Baltimore). 2021 Mar 26; 100(12): e25235 BACKGROUND This study aimed to evaluate the efficacy of peri-induction forced air warming to prevent inadvertent perioperative hypothermia, defined as a reduction in body temperature to<36.0°C during the perioperative period, in intraoperatively warmed patients receiving major […]
Read MoreAuthor: Tony Mira F1rstNews The Centers for Medicare and Medicaid Services (CMS) released a Medicare Learning Network (MLN) article on April 1 concerning the Advanced and Accelerated Payment Program (AAPP). As our readers will recall, this was one of several programs the federal government made available to medical providers who were facing financial difficulty due […]
Read MoreAUTHORS: Lang, Shih-Shan MD et al Anesthesia & Analgesia: February 2021 – Volume 132 – Issue 2 – p 493-499 BACKGROUND: Moyamoya disease is a condition with potentially devastating and permanent neurological sequelae. Adequate volume status and blood pressure, tight control of carbon dioxide to achieve normocarbia, and providing postoperative analgesia to prevent hyperventilation are typical […]
Read MoreAuthor: Karen Fusion Anesthesia Solutions What is the Perioperative Surgical Home? The American Society of Anesthesiologists explains the Perioperative Surgical Home model where the patient’s experience of care is coordinated by a physician-led, interdisciplinary team. The expected metrics includes improved operational efficiencies, decreased resource utilization, a reduction in length of stay and readmission, and a decrease in […]
Read MoreNEJM Journal Watch Daniel D. Dressler, MD, MSc, MHM, FACP, reviewing China L et al. N Engl J Med 2021 Mar 4 A randomized trial demonstrated no benefit. Guidelines recommend intravenous (IV) albumin for patients with cirrhosis after large-volume paracentesis and for patients with spontaneous bacterial peritonitis or hepatorenal syndrome (Hepatology 2013; 57:165). In vitro data suggest albumin’s […]
Read MoreDG Journal Club Authors: Andrew Smith, Elise Laflamme et al. Am Fam Physician. 2021 Mar 15; 103(6): 355-364 A patient’s sense of empowerment and control is most predictive of maternal satisfaction with childbirth. Analgesia during labor greatly affects this experience. Individual patient priorities for labor pain management should be explored as part of routine prenatal […]
Read MoreAUTHORS: Udelsman, Brooks V. MD, MHS et al Anesthesia & Analgesia: January 2021 – Volume 132 – Issue 1 – p 210-216 Background: High-quality shared decision-making for patients undergoing elective surgical procedures includes eliciting patient goals and treatment preferences. This is particularly important, should complications occur and life-sustaining therapies be considered. Our objective was to […]
Read MoreAUTHORS: Zimmermann, Julia MBBS et al Anesthesia & Analgesia: January 2021 – Volume 132 – Issue 1 – p 202-209 Background: Patients with Stickler syndrome often require emergency surgery and are often anesthetized in nonspecialist units, typically for retinal detachment repair. Despite the occurrence of cleft palate and Pierre-Robin sequence, there is little published literature […]
Read MoreAUTHORS: Franklin, Andrew D. MD et al Anesthesia & Analgesia: January 2021 – Volume 132 – Issue 1 – p 182-193 Background: Enhanced recovery after surgery pathways confer significant perioperative benefits to patients and are currently well described for adult patients undergoing a variety of surgical procedures. Robust data to support enhanced recovery pathway use […]
Read MoreAUTHORS: Zieleskiewicz, Laurent MD et al Anesthesia & Analgesia: January 2021 – Volume 132 – Issue 1 – p 172-181 Background: Postoperative pulmonary complications are associated with increased morbidity. Identifying patients at higher risk for such complications may allow preemptive treatment. METHODS: Patients with an American Society of Anesthesiologists (ASA) score >1 and who were […]
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